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Job Description

Position Description
The Claims Manager shall effectively manage the claims reporting, processing, and settlement function for both the KACo All Lines Fund (KALF) and the Workers Compensation (WC) programs.
Duties:
-Utilize discretion and independent judgment in the day-to-day management and oversight of the KALF and WC claims third party administrator (TPA).
-Monitor and analyze both litigated and non-litigated WC claim files.
-Monitor and analyze non-litigated KALF files.
-Based upon analysis, determine which claims to deny coverage and report to the Insurance Director and Assistant Director.
-Maintain constant communication with TPA adjusters on all WC claim files.
-Perform in-person quarterly claim reviews on WC claims with TPA.
-Utilize solid decision making in approving or denying recommended reserve changes on non-litigated KALF claims and WC claims with reports to the Insurance Director and Asst. Director.
-Make counsel assignment recommendation to Insurance Director on all litigated WC claims.
-Compile statistical information for monthly board meetings; create spreadsheets and graphs, and present information to the KALF and WC Boards of Directors at their monthly meetings.
-Make recommendations regarding changes to the claims process policies and procedures to the Insurance Director and Assistant Director
-Customarily and regularly directs the work of the KACo Insurance Department paralegal in conjunction with the KACo Litigation Manager.
-Other duties as assigned.
Required Knowledge, Skills, and Abilities:
oBasic KSAs
-Ten years insurance experience
-Knowledge of and familiarity with Microsoft Office Suite programs
-Excellent oral and written communications skills
-Must be able to work well with others
-Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service
-Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices
-Ability to safely and successfully perform job duties consistent with federal, state and local standards
-Ability to maintain reasonably regular, punctual attendance consistent with federal, state and local standards
-Must be able to routinely sit for extended periods daily
-Must be able to lift and carry up to 50 pounds
-Overnight travel is required.
-Must possess a valid driver's license
oPreferred KSAs
-College degree in Insurance
-Ten years insurance claims experience
-Risk Master proficiencyrecblid u7avm8irmgtmjl44lza4uxjcyqwpae

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